Wellstar Sylvan Grove Hospital
1050 Mcdonough Road, Jackson, GA · Wellstar Health System · · NPI 1386664779
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $188.37 – $345.93 | 3 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $177.56 – $287.55 | 2 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $278.98 – $524.05 | 2 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $47.10 – $1,037.79 | 3 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $68.79 – $68.79 | 1 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $100.45 – $215.63 | 3 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $19.65 – $28.90 | 2 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $153.59 – $153.59 | 1 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $18.68 – $18.68 | 1 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $20.79 – $21.39 | 2 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $4.90 – $36.50 | 2 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $2.92 – $4.50 | 2 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $13.61 – $69.06 | 2 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $11,227.60 – $11,227.60 | 1 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $156.54 – $246.30 | 2 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $25.25 – $25.25 | 1 |
| Inj peritoneal venous shunt CPT 49427 | $541.71 | $1,389.00 | $2,665.00 – $3,391.00 | 2 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $23.23 – $40.21 | 3 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $64.14 – $97.41 | 2 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $6.80 – $12.46 | 3 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $168.24 – $168.24 | 1 |
| Inj proc ankle arthr CPT 27648 | $567.45 | $1,455.00 | $2,665.00 – $3,391.00 | 2 |
| Inj proc elbow arthro CPT 24220 | $645.84 | $1,656.00 | $2,665.00 – $3,391.00 | 2 |
| Inj proc for lymphang CPT 38790 | $1,718.73 | $4,407.00 | $1,308.00 – $3,391.00 | 3 |
| Inj proc lumbr disk ea lvl CPT 62290 | $894.27 | $2,293.00 | $2,665.00 – $3,391.00 | 2 |
| Inj proc myelogram lumbar CPT 62284 | $2,359.50 | $6,050.00 | $2,665.00 – $3,391.00 | 2 |
| Inj proc sialogram CPT 42550 | $420.42 | $1,078.00 | $2,665.00 – $3,391.00 | 2 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $1.70 – $1.70 | 1 |
| Inj prohance multipack HCPCS A9576 | $51.48 | $132.00 | $2.78 – $2.78 | 1 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $41.51 – $41.51 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $4.17 – $7.20 | 3 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.86 – $1.87 | 2 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $1.43 – $2.70 | 2 |
| Inj retro urethrocysto CPT 51610 | $685.23 | $1,757.00 | $1,308.00 – $5,063.00 | 3 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $24.76 – $45.08 | 3 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $35,937.66 – $35,937.66 | 1 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $1.72 – $1.72 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $62.17 – $101.47 | 3 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $23.90 – $38.99 | 2 |
| Inj scleros sol mult veins CPT 36471 | $1,343.55 | $3,445.00 | $1,125.52 – $3,391.00 | 3 |
| Inj scleros sol sgl vein CPT 36470 | $695.37 | $1,783.00 | $1,125.52 – $3,391.00 | 3 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $1.26 – $6.60 | 3 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $992.47 – $1,614.41 | 3 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $63.79 – $127.41 | 3 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $33.77 – $33.77 | 1 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $2.59 – $2.59 | 1 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $117.09 – $208.36 | 2 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $1,125.52 – $3,391.00 | 3 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $35.60 – $35.60 | 1 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $153.36 – $279.50 | 2 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $34.56 – $61.48 | 2 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $645.92 – $1,126.44 | 3 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $79.33 – $155.80 | 3 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $62.04 – $106.74 | 2 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $3.45 – $6.16 | 3 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $70.98 – $125.46 | 2 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $661.57 – $1,134.88 | 3 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.10 – $0.10 | 1 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.06 – $0.06 | 1 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $0.78 – $0.78 | 1 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $4.86 – $7.94 | 2 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $253.84 – $486.68 | 3 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $106.22 – $106.22 | 1 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $296.08 – $521.91 | 2 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $11.44 – $17.11 | 2 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $34.31 – $60.69 | 3 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.34 – $0.34 | 1 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $19.23 – $35.53 | 2 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $7,224.88 – $10,231.06 | 3 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $11.63 – $50.67 | 3 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $7.83 – $15.09 | 2 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $47.12 – $85.46 | 2 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $12.26 – $20.66 | 2 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $12.16 – $22.77 | 2 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $1.59 – $2.29 | 2 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $6.92 – $11.28 | 2 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $99.11 – $250.54 | 2 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $840.18 – $1,467.04 | 2 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $512.66 – $512.66 | 1 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $109.65 – $175.96 | 3 |
| Inj w/fluor eval cv device CPT 36598 | $422.37 | $1,083.00 | $605.00 – $4,714.00 | 4 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $27.18 – $49.06 | 3 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $92.29 – $168.09 | 2 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $1,002.35 – $1,830.34 | 3 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $5,066.40 – $8,927.32 | 3 |
| Ins cath ren art 1st bi CPT 36252 | $4,017.78 | $10,302.00 | $4,714.00 – $8,997.17 | 3 |
| Ins cath ren art 1st uni CPT 36251 | $4,525.95 | $11,605.00 | $4,714.00 – $8,997.17 | 3 |
| Ins cath ren art 2nd+ bi CPT 36254 | $4,778.67 | $12,253.00 | $4,714.00 – $8,997.17 | 3 |
| Ins cath ren art 2nd+ uni CPT 36253 | $4,525.95 | $11,605.00 | $4,714.00 – $15,511.46 | 3 |
| Ins cerv dilator (sep proc) CPT 59200 | $1,263.60 | $3,240.00 | $905.52 – $3,391.00 | 4 |
| Ins device for right guide open CPT 49412 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Insemination of oocytes CPT 89268 | not published | not published | $65.18 – $482.12 | 3 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $1,694.00 – $5,272.00 | 3 |
| Insert and remove bone pin CPT 20650 | $6,879.60 | $17,640.00 | $1,937.00 – $9,136.47 | 5 |
| Insert ant drainage device CPT 66183 | not published | not published | $5,809.00 – $11,889.00 | 4 |
| Insert balloon device CPT 33973 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $1,937.00 – $18,802.95 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.